Dr Michael Modica, MD | |
8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708 | |
(310) 689-3100 | |
Not Available |
Full Name | Dr Michael Modica |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 17 Years |
Location | 8750 Wilshire Blvd Ste 100, Beverly Hills, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295926061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | C193571 (California) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 251042 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
West Valley Medical Center | Caldwell, ID | Hospital |
Treasure Valley Hospital | Boise, ID | Hospital |
Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arizona Diagnostic Radiology Group Llc | 1658796859 | 61 |
Beverly Radiology Medical Group Iii | 3476466376 | 246 |
Maryland Imaging Network Pc | 6103259304 | 49 |
Intermountain Medical Imaging Llc | 7517870918 | 33 |
Gem State Radiology Llp | 9335044833 | 38 |
Intermountain Medical Imaging Llc | 7517870918 | 33 |
Gem State Radiology Llp | 9335044833 | 38 |
Arizona Diagnostic Radiology Group Llc | 1658796859 | 61 |
Beverly Radiology Medical Group Iii | 3476466376 | 246 |
Desert Advanced Imaging Medical Center | 6406749613 | 144 |
Entity Name | Gem State Radiology Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083661508 PECOS PAC ID: 9335044833 Enrollment ID: O20031205000623 |
Entity Name | Intermountain Medical Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669423679 PECOS PAC ID: 7517870918 Enrollment ID: O20090130000423 |
Entity Name | Arizona Diagnostic Radiology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336757699 PECOS PAC ID: 1658796859 Enrollment ID: O20230709000131 |
Entity Name | Norcal Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376667022 PECOS PAC ID: 7911099346 Enrollment ID: O20231125000336 |
Entity Name | Beverly Radiology Medical Group Iii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20231207000799 |
Entity Name | Maryland Imaging Network Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487296471 PECOS PAC ID: 6103259304 Enrollment ID: O20231228000865 |
Entity Name | Medical Scanning Consultants Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659348092 PECOS PAC ID: 9032005376 Enrollment ID: O20240105000899 |
Entity Name | Desert Advanced Imaging Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20240105004204 |
Entity Name | Carilion Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20240226000354 |
Entity Name | Carilion Giles Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20240401001901 |
Entity Name | Santa Rosa Imaging Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689890444 PECOS PAC ID: 2567408859 Enrollment ID: O20240404002238 |
Entity Name | Carilion Rockbridge Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20240416001844 |
Entity Name | Carilion Tazewell Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427040328 PECOS PAC ID: 4183604259 Enrollment ID: O20240416004363 |
Entity Name | Modesto Advanced Diagnostic Imaging Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730133893 PECOS PAC ID: 1850336736 Enrollment ID: O20240418000832 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Modica, MD 877 W Main St, Suite 603, Boise, ID 83702-5883 Ph: (208) 367-2161 | Dr Michael Modica, MD 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-2708 Ph: (310) 689-3100 |
Christopher Lin, DO Radiology Medicare: Medicare Enrolled Practice Location: 9675 Brighton Way Ste 100, Beverly Hills, CA 90210 Phone: 310-205-7310 | |
Dr. Mitchell Alan Berner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 N San Vicente Blvd, Beverly Hills, CA 90211 Phone: 323-433-7800 Fax: 323-433-7801 | |
Hollie Gallagher-zate, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 8750 Wilshire Blvd Ste 100, Beverly Hills, CA 90211 Phone: 310-689-3100 | |
Dr. Steven B Oglevie, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1460 Seabright Pl, Beverly Hills, CA 90210 Phone: 949-887-8304 | |
Dr. Ronald Selwyn Grusd, M.D. DABR Radiology Medicare: Not Enrolled in Medicare Practice Location: 8641 Wilshire Blvd Ste 105, Beverly Hills, CA 90211 Phone: 310-289-8678 | |
Dr. Nasser Delafraz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8641 Wilshire Blvd Ste 105, Beverly Hills, CA 90211 Phone: 310-289-8678 Fax: 310-289-1161 | |
Dr. Sanford Murray Weinstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 730 North Rodeo Dr, Beverly Hills, CA 90210 Phone: 310-276-8606 Fax: 310-858-0430 |